Healthcare Provider Details

I. General information

NPI: 1386580132
Provider Name (Legal Business Name): MORGAN MORRASH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/24/2026
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1520 W HARRISON ST FL 6
CHICAGO IL
60607-3106
US

IV. Provider business mailing address

1520 W HARRISON ST FL 6
CHICAGO IL
60607-3106
US

V. Phone/Fax

Practice location:
  • Phone: 312-563-3000
  • Fax: 312-563-2514
Mailing address:
  • Phone: 312-563-3000
  • Fax: 312-563-2514

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number209.033809
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: